Senior Patient Acct Rep.(Physician's Billing & Denials)

OU Health; United States; Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking a Senior Patient Account Representative to join their Revenue Integrity team. This role involves critical functions such as patient processing, billing, collections, and coding. With a focus on accuracy and attention to detail, you will engage with patients and third-party carriers to ensure smooth operations and resolve billing issues. If you have a background in medical billing and a passion for providing excellent service, this position offers an exciting opportunity to make a significant impact in a dynamic environment.

Qualifications

• 3-5 years of experience in Medical Billing or Collections.
• High School Diploma or GED required.

Responsibilities

• Manage patient scheduling and registration processes.
• Coordinate billing and resolve issues with IDX system.
• Address patient inquiries regarding statements and coverage.

Skills

Medical Billing

Collections

Attention to Detail

Excellent Communication Skills

Proficiency with Microsoft Office

Education

High School Diploma or GED

Tools

IDX System

Job description

Senior Patient Acct Rep. (Physician's Billing & Denials)

Position Title: Senior Patient Acct Rep. (Physician's Billing & Denials)

Department: Revenue Integrity

Job Description

General Description: Under supervision, participates in patient processing and accounts receivable functions, including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting, and credit balance resolution. Reconciles daily IDX system receivables reports and balances monthly transactions, providing summaries to faculty and department administration.

Essential Responsibilities

1. Patient scheduling
2. Patient registration
   • Review admitting records and extract relevant information
   • Record patient identification and demographic data in the billing system
   • Verify coverage with agency representatives
3. Charge entry
   • Review source documents for completeness
   • Transcribe and verify data into the computer system
   • Batch charges, generate cash totals, and enter charges
   • Balance batches with source documents and hash totals
4. Billing
   • Coordinate with organizational areas for documentation
   • Obtain patient demographic or billing information as needed
   • Use hospital information system to verify insurance and approvals/denials
   • Process inpatient and outpatient documents daily
   • Resolve billing issues with IDX system
   • Maintain records of charges, payments, and third-party charges
5. Collection
   • Address patient questions regarding statements and coverage
   • Handle collection correspondence and record results
   • Identify accounts for collection or when contact fails
   • Receive payments and issue receipts
6. Coding
   • Record CPT and ICD-9 codes on billing forms
7. Follow-up
   • Contact patients or third-party carriers regarding delays
   • Manage incoming/outgoing mail and calls
   • Record contacts and follow-up actions
   • Address insurance non-payments and denials
   • Review denials and interface with stakeholders
8. Payment posting
   • Post receipts and denials
   • Verify batch proofs against source documents
9. Reporting
   • Review and balance IDX transaction reports
   • Prepare billing statements from data
10. Credit balance resolution
    • Review credit reports and prepare refund requests
    • Post refund checks and mail documentation

General Responsibilities

• Perform additional duties as assigned

Minimum Requirements

Education: High School Diploma or GED

Experience: 3-5 years in Medical Billing, Collections, or Billing Systems (IDX or similar)

Licensure/Certifications: None required

Knowledge, Skills, and Abilities

• Attention to detail
• Excellent communication skills
• Proficiency with Microsoft Office